Table 7.

Constructive feedback on SSO^a Wellbeing Course and case stories based on qualitative survey data (n=81).

Domain and category		Description	Example quote	Clients, n (%)
Overall course areas for improvement
	Delivery changes or additions	Inclusion of audio, video, or interactive features; additional reminder emails; personal tailoring of content delivery; putting slides into PDF format; and include workbook	“I wished I could listen to the slides or read—this way I could turn it on and listen not just have to read through them.”	15 (19)
	Content changes	Suggestions for new content to add or changes to the current content (eg, reduce length and repetitiveness); inclusion of new topics (eg, assertiveness and communication with spouse, resource on affairs, how to support spouse, and more examples); and reduce amount of information	“I would recommend a resource on affairs and recovering from affairs, as these seem to be common within the profession.”	13 (16)
	Survey issues	Suggestions to change the timing of surveys or survey response options	“Just the scheduling of these check-ins as they sometimes don’t line up with where I am at in the course, if there is a way to prompt them after I have completed a certain module that would be great.”	12 (15)
	Technical issues	Fixing issues related to being locked out of lessons, requests for slides to be continuously available, and fix issues with malfunctioning slides	“Sometimes I found the slides to be glitchy with pushing me forward.”	7 (9)
	Timelines	Requests for additional time, structure felt forced, and requests to access course for a longer period	“An occasional reprieve or extra week would reduce the trying-to-keep-all-the-balls-in-the-air guilt.”	4 (5)
	Need for more accountability or therapist support	Requests for support to work through course, need for due dates, and difficulties with self-guided format	“I’ve realized I don’t do well with completely self-guided. I need a due date otherwise I keep pushing the work back.”	3 (4)
Case stories areas for improvement
	Changes to content or additional topics	Use real stories, not fictional; add more stories; include more backstories; increase variety; too much diversity; and requests to add specific topics, including supporting spouse with mental health challenges, loneliness of SSO, and more relationship stages (eg, retirement)	“I would have read more stories if they were available.”	25 (31)
	Delivery of stories	Add audio or video, remove pictures, reduce length, less abrupt endings, and systematize or ability to filter out nonapplicable stories	“Having videos of the people telling their stories would be helpful.”	17 (21)
	Relatability	Did not find the stories relatable or only found some stories relatable and stories did not provide validation	“That I felt like I didn’t relate to any. They were bigger than my issues which feels smaller but also more generic. I can’t pinpoint my struggles as easily?”	13 (16)

^aSSO: spouse and significant other.